Full Name | |
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Speciality | Counselor - Professional |
Location | 567 Main St, East Machias, Maine |
Authorized Official Name and Position | Matthew W Hall (COUNSELOR) |
Authorized Official Contact | 2077268474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 8 East Machias ME 04630-0008 Ph: (207) 726-8474 | 567 Main St East Machias ME 04630 Ph: (207) 726-8474 |
NPI Number | 1255162913 |
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Provider Enumeration Date | 08/13/2024 |
Last Update Date | 09/16/2024 |
Certification Date | 09/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255162913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |